A patient case is included in the paper. Please read this carefully before answering the questions.
Answers should refer to sources of knowledge and cite authors and dates.
A reference list is not required.
| The word limit for the answer paper is 2000 words. Over this limit penalties set out within the policy for word limits will apply. |
| Answers should be submitted to eAssignments. Answers submitted after this deadline will receive a mark of zero. |
| Patient Case Mrs Jones is a 68 year old lady with a history of ovarian cancer. She has been admitted to hospital with abdominal pain and vomiting. Investigations have shown that she has metastatic disease in her pelvis that has resulted in bowel obstruction. She is not a surgical candidate because of the extent of her disease and there are no further anti-cancer treatment options available. Conversations about this have taken place with Mrs Jones and her husband, and she has expressed a desire to go home for end-of-life care. Mr Jones is planning to visit his wife in person in the next 24 hours, given the severity of the situation. Mrs Jones currently has an nasogastric tube in situ and a syringe driver administering her medications. |
Questions
Q1. Critically appraise how you will assess Mr Jones’ understanding of the situation and determine his needs in supporting his wife at home.
[ 1/3 of marks ]
Please write your answer here:
Q2. As the nurse caring for Mrs Jones, critically debate the practical plans you need to consider in ensuring her discharge is successful.
[ 1/3 of marks ]
Please write your answer here:
Q3. Given the urgency of the situation and poor prognosis, and that you know Mrs Jones’ strong wish is to remain at home, critically discuss the approaches you could use to ensure that readmission is avoided in the event of her inevitable deterioration.
[ 1/3 of marks ]
Please write your answer here:
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